Upon entry into the air-breathing world, without the nutrition and oxygenation via the umbilical cord, the newborn must begin to adjust to life outside the uterus. Newborns can feel all different sensations, but respond most enthusiastically to soft stroking, cuddling and caressing. Gentle rocking back and forth often calms a crying infant, as do massages and warm baths. Newborns can be comforted by nursing, or may need to comfort themselves by sucking their thumb, or a pacifier. The need to suckle is instinctive (see suction in biology) and allows newborns to feed.
Normal infant vital parameters
Blood Pressure
(mmHg) Systolic 75-100[5]
Diastolic 50-70[5]
Heart rate (BPM) 120-160[5]
Respiratory rate 30-60[5]
Newborn infants have unremarkable vision, being able to focus on objects only about 18 inches (45 cm) directly in front of their face. While this may not be much, it is all that is needed for the infant to look at the mother's eyes or areola when breastfeeding. Depth perception does not develop until the infant is mobile. Generally, a newborn cries when wanting to feed. When a newborn is not sleeping, or feeding, or crying, he or she may spend a lot of time staring at various objects. Usually anything that is shiny, has sharp contrasting colors, or has complex patterns will catch an infant's eye. However, the newborn has a preference for looking at other human faces above all else. (see also: infant metaphysics and infant vision)
In utero, the infant can hear many internal noises, such as the mother's heartbeat, in addition to external noises including the human voice, music and most other sounds. Therefore, though a newborn's ears may have some catarrh and fluid, he or she can hear sound from before birth. Newborns usually respond more readily to a female voice over a male voice. This may explain why people will unknowingly raise the pitch of their voice when talking to newborns (this voice change is called motherese). The sound of other human voices, especially the mother's, can have a calming or soothing effect on the newborn. Conversely, loud or sudden noises will startle and scare them. Newborns have been shown to prefer sounds that were a regular feature of their prenatal environment, for example, the theme tune of a television programme their mother watched regularly. Naturally, the rhythm of the mother's breathing and heartbeat are even more familiar to the newborn, therefore they will prefer or expect to hear it regularly for prolonged periods.
Newborns can respond to differing tastes, including sweet, sour, bitter, and salty substances, with a preference toward sweetness. It has been shown that neonates show a preference for the smell of foods that their mother ate regularly, since the amniotic fluid changes taste with different foods eaten by the mother - as does breastmilk.[citation needed]
Newborns' digestive tracts, which of course have never been used prior to birth, are filled with a greenish-black, sticky material called meconium. This has the function of standing in for fecal material and allows the intestines to develop to the point where they can process milk immediately on birth. This material is passed by the child in the first few days.
Care and feeding
A baby breastfeeding
Infants cry as a form of basic instinctive communication. A crying infant may be trying to express a variety of feelings including hunger, discomfort, overstimulation, boredom, wanting something, or loneliness.
Breastfeeding is the recommended method of feeding by all major infant health organizations.[6] If breastfeeding is not possible or desired, bottle feeding is done with expressed breast-milk or with infant formula. Infants are born with a sucking reflex allowing them to extract the milk from the nipples of the breasts or the nipple of the baby bottle, as well as an instinctive behavior known as rooting with which they seek out the nipple. Sometimes a wet nurse is hired to feed the infant, although this is rare, especially in developed countries.
Adequate food consumption at an early age is vital for an infant's development. From birth to four months, infants should consume breast milk or an unmodified milk substitute. As an infant's diet matures, finger foods may be introduced as well as fruit, vegetables and small amounts of meat.[7]
As infants grow, food supplements are added. Many parents choose commercial, ready-made baby foods to supplement breast milk or formula for the child, while others adapt their usual meals for the dietary needs of their child. Whole cow's milk can be used at one year, but lower-fat milk should not be provided until the child is 2 to 3 years old. Weaning is the process through which breast milk is eliminated from the infant's diet through the introduction of solid foods in exchange for milk.[8] Until they are toilet-trained, infants in industrialized countries wear diapers. The transition from diapers to cloth undergarments is an important transition in the development of an infant/baby to that of a toddler. Children need more sleep than adults--up to 18 hours for newborn babies, with a declining rate as the child ages. Until babies learn to walk, they are carried in the arms, held in slings or baby carriers, or transported in baby carriages or strollers. Most industrialized countries have laws requiring child safety seats for babies in motor vehicles.
Infants and the benefits of touch
Studies have shown that infants who have been the recipients of positive touch experience more benefits as they develop emotionally and socially. Experiments have done with infants up to four months of age using both positive touch (stroking or cuddling) and negative touch (poking, pinching or tickling). The infants who received the positive touch cried less often and also vocalized and smiled more than the infants who were touched negatively. Infants who were the recipients of negative touching have been linked with emotional and behavioural problems later in life. A lower amount of physical violence in adults has been discovered in cultures with greater levels of positive physical touching.[9]
Human infants have a primal need to be carried close to their mother's body. They need constant physical contact for their first few weeks or months of life. They are born with reflexes that aid them in holding onto their mother's body in every way possible, these being the Moro reflex, and the instinctive grasping of a finger or object placed in their palm. Their legs usually resume an M shape, their knees being the top peaks of the M, which is the ideal position both for optimal hip development, and makes it comfortable for an adult to carry them laid on their chest. They also need frequent care, given that they need to eat and eliminate more often than other mammalian offspring, that are cared for in nests, thus could endanger themselves by hungry crying and the smell of their excrement.[citation needed]
Infant mortality
Main article: Infant mortality
An infant being immunized in Bangladesh
Infant mortality is the death of an infant in the first year of life, often expressed as the number of deaths per 1000 live births (infant mortality rate). Major causes of infant mortality include dehydration, infection, congenital malformation and SIDS.[10]
This epidemiological indicator is recognized as a very important measure of the level of health care in a country because it is directly linked with the health status of infants, children, and pregnant women as well as access to medical care, socioeconomic conditions, and public health practices.[11][12]
There is a positive relationship between national wealth and good health. The rich and industrialized countries of the world, prominently Canada, the United Kingdom, the United States, and Japan, spend a large proportion of their wealthy budget on the health care system. As, a result, their health care systems are very sophisticated, with many physicians, nurses, and other health care experts servicing the population. Thus, infant mortality is low. On the other hand, a country such as Mexico, which spends disproportionately less of its budget on healthcare, suffers from high mortality rates. This is because the general population is likely to be less healthy.[13] Infant mortality rates are especially high in minority groups. Non-Hispanic black women have an infant mortality rate of 13.63 per 1000 live births whereas in non-Hispanic white women it was much lower at a rate of 5.76 per 1000 live births. [14] The average infant mortality rate in the U.S. is 6.8 per 1000 live births. [15]
Emotional development
Attachment theory is primarily an evolutionary and ethological theory whereby the infant or child seeks proximity to a specified attachment figure in situations of alarm or distress for the purpose of survival.[16] The forming of attachments is considered to be the foundation of the infant/child's capacity to form and conduct relationships throughout life. Attachment is not the same as love and/or affection although they often go together. Attachment and attachment behaviors tend to develop between the age of 6 months and 3 years. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some time. Parental responses lead to the development of patterns of attachment which in turn lead to 'internal working models' which will guide the individual's feelings, thoughts, and expectations in later relationships.[17] There are a number of attachment 'styles' namely 'secure', 'anxious-ambivalent', 'anxious-avoidant', (all 'organized') and 'disorganized', some of which are more problematic than others. A lack of attachment or a seriously disrupted capacity for attachment could potentially amount to serious disorders.
Normal infant vital parameters
Blood Pressure
(mmHg) Systolic 75-100[5]
Diastolic 50-70[5]
Heart rate (BPM) 120-160[5]
Respiratory rate 30-60[5]
Newborn infants have unremarkable vision, being able to focus on objects only about 18 inches (45 cm) directly in front of their face. While this may not be much, it is all that is needed for the infant to look at the mother's eyes or areola when breastfeeding. Depth perception does not develop until the infant is mobile. Generally, a newborn cries when wanting to feed. When a newborn is not sleeping, or feeding, or crying, he or she may spend a lot of time staring at various objects. Usually anything that is shiny, has sharp contrasting colors, or has complex patterns will catch an infant's eye. However, the newborn has a preference for looking at other human faces above all else. (see also: infant metaphysics and infant vision)
In utero, the infant can hear many internal noises, such as the mother's heartbeat, in addition to external noises including the human voice, music and most other sounds. Therefore, though a newborn's ears may have some catarrh and fluid, he or she can hear sound from before birth. Newborns usually respond more readily to a female voice over a male voice. This may explain why people will unknowingly raise the pitch of their voice when talking to newborns (this voice change is called motherese). The sound of other human voices, especially the mother's, can have a calming or soothing effect on the newborn. Conversely, loud or sudden noises will startle and scare them. Newborns have been shown to prefer sounds that were a regular feature of their prenatal environment, for example, the theme tune of a television programme their mother watched regularly. Naturally, the rhythm of the mother's breathing and heartbeat are even more familiar to the newborn, therefore they will prefer or expect to hear it regularly for prolonged periods.
Newborns can respond to differing tastes, including sweet, sour, bitter, and salty substances, with a preference toward sweetness. It has been shown that neonates show a preference for the smell of foods that their mother ate regularly, since the amniotic fluid changes taste with different foods eaten by the mother - as does breastmilk.[citation needed]
Newborns' digestive tracts, which of course have never been used prior to birth, are filled with a greenish-black, sticky material called meconium. This has the function of standing in for fecal material and allows the intestines to develop to the point where they can process milk immediately on birth. This material is passed by the child in the first few days.
Care and feeding
A baby breastfeeding
Infants cry as a form of basic instinctive communication. A crying infant may be trying to express a variety of feelings including hunger, discomfort, overstimulation, boredom, wanting something, or loneliness.
Breastfeeding is the recommended method of feeding by all major infant health organizations.[6] If breastfeeding is not possible or desired, bottle feeding is done with expressed breast-milk or with infant formula. Infants are born with a sucking reflex allowing them to extract the milk from the nipples of the breasts or the nipple of the baby bottle, as well as an instinctive behavior known as rooting with which they seek out the nipple. Sometimes a wet nurse is hired to feed the infant, although this is rare, especially in developed countries.
Adequate food consumption at an early age is vital for an infant's development. From birth to four months, infants should consume breast milk or an unmodified milk substitute. As an infant's diet matures, finger foods may be introduced as well as fruit, vegetables and small amounts of meat.[7]
As infants grow, food supplements are added. Many parents choose commercial, ready-made baby foods to supplement breast milk or formula for the child, while others adapt their usual meals for the dietary needs of their child. Whole cow's milk can be used at one year, but lower-fat milk should not be provided until the child is 2 to 3 years old. Weaning is the process through which breast milk is eliminated from the infant's diet through the introduction of solid foods in exchange for milk.[8] Until they are toilet-trained, infants in industrialized countries wear diapers. The transition from diapers to cloth undergarments is an important transition in the development of an infant/baby to that of a toddler. Children need more sleep than adults--up to 18 hours for newborn babies, with a declining rate as the child ages. Until babies learn to walk, they are carried in the arms, held in slings or baby carriers, or transported in baby carriages or strollers. Most industrialized countries have laws requiring child safety seats for babies in motor vehicles.
Infants and the benefits of touch
Studies have shown that infants who have been the recipients of positive touch experience more benefits as they develop emotionally and socially. Experiments have done with infants up to four months of age using both positive touch (stroking or cuddling) and negative touch (poking, pinching or tickling). The infants who received the positive touch cried less often and also vocalized and smiled more than the infants who were touched negatively. Infants who were the recipients of negative touching have been linked with emotional and behavioural problems later in life. A lower amount of physical violence in adults has been discovered in cultures with greater levels of positive physical touching.[9]
Human infants have a primal need to be carried close to their mother's body. They need constant physical contact for their first few weeks or months of life. They are born with reflexes that aid them in holding onto their mother's body in every way possible, these being the Moro reflex, and the instinctive grasping of a finger or object placed in their palm. Their legs usually resume an M shape, their knees being the top peaks of the M, which is the ideal position both for optimal hip development, and makes it comfortable for an adult to carry them laid on their chest. They also need frequent care, given that they need to eat and eliminate more often than other mammalian offspring, that are cared for in nests, thus could endanger themselves by hungry crying and the smell of their excrement.[citation needed]
Infant mortality
Main article: Infant mortality
An infant being immunized in Bangladesh
Infant mortality is the death of an infant in the first year of life, often expressed as the number of deaths per 1000 live births (infant mortality rate). Major causes of infant mortality include dehydration, infection, congenital malformation and SIDS.[10]
This epidemiological indicator is recognized as a very important measure of the level of health care in a country because it is directly linked with the health status of infants, children, and pregnant women as well as access to medical care, socioeconomic conditions, and public health practices.[11][12]
There is a positive relationship between national wealth and good health. The rich and industrialized countries of the world, prominently Canada, the United Kingdom, the United States, and Japan, spend a large proportion of their wealthy budget on the health care system. As, a result, their health care systems are very sophisticated, with many physicians, nurses, and other health care experts servicing the population. Thus, infant mortality is low. On the other hand, a country such as Mexico, which spends disproportionately less of its budget on healthcare, suffers from high mortality rates. This is because the general population is likely to be less healthy.[13] Infant mortality rates are especially high in minority groups. Non-Hispanic black women have an infant mortality rate of 13.63 per 1000 live births whereas in non-Hispanic white women it was much lower at a rate of 5.76 per 1000 live births. [14] The average infant mortality rate in the U.S. is 6.8 per 1000 live births. [15]
Emotional development
Attachment theory is primarily an evolutionary and ethological theory whereby the infant or child seeks proximity to a specified attachment figure in situations of alarm or distress for the purpose of survival.[16] The forming of attachments is considered to be the foundation of the infant/child's capacity to form and conduct relationships throughout life. Attachment is not the same as love and/or affection although they often go together. Attachment and attachment behaviors tend to develop between the age of 6 months and 3 years. Infants become attached to adults who are sensitive and responsive in social interactions with the infant, and who remain as consistent caregivers for some time. Parental responses lead to the development of patterns of attachment which in turn lead to 'internal working models' which will guide the individual's feelings, thoughts, and expectations in later relationships.[17] There are a number of attachment 'styles' namely 'secure', 'anxious-ambivalent', 'anxious-avoidant', (all 'organized') and 'disorganized', some of which are more problematic than others. A lack of attachment or a seriously disrupted capacity for attachment could potentially amount to serious disorders.
